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Schückher, Fides
Publications (10 of 10) Show all publications
Schückher, F., Berglund, K., Engström, I. & Sellin, T. (2022). Predictors for Abstinence in Socially Stable Women Receiving Treatment for Alcohol Use Disorder. Alcoholism Treatment Quarterly, 40(2), 244-257
Open this publication in new window or tab >>Predictors for Abstinence in Socially Stable Women Receiving Treatment for Alcohol Use Disorder
2022 (English)In: Alcoholism Treatment Quarterly, ISSN 0734-7324, E-ISSN 1544-4538, Vol. 40, no 2, p. 244-257Article in journal (Refereed) Published
Abstract [en]

There is a knowledge gap about predictors of treatment outcomes in alcohol use disorder (AUD) in socially stable women. This study examined factors that may predict abstinence 12 months after the end of treatment for AUD in socially stable women. Fifty-seven women with AUD participated in 12-month follow-up. Information about sociodemographic, alcohol-related, psychiatric symptoms, psychological functioning, and participants' treatment goals and ability to change alcohol habits were gathered from structured interviews and self-report instruments. Predictors for abstinence at the 12-month follow up were calculated by univariable and multivariable logistic regression models. Significant predictors for abstinence were having no history of childhood abuse (OR: 8.13; 95%CI: 2.22-29.75; p < .01) and a goal of abstinence at the end of treatment (OR: 15.17; 95%CI: 3.45-66.69; p < .001). Most participants (>60%) achieved their goals of abstinence or low-risk drinking. The results highlight the significance of identifying patients with experiences of childhood abuse, since such experiences may adversely affect the outcome of AUD treatment. Our findings also emphasize the importance of patients' own goals of abstinence, since it resulted in the most stable outcome. Treatment could, therefore, also focus on motivating individuals to aim for abstinence.

Place, publisher, year, edition, pages
Routledge, 2022
Keywords
Alcohol use disorder, treatment, 12-months follow up, childhood abuse, goal of abstinence, well-adjusted women
National Category
Substance Abuse
Identifiers
urn:nbn:se:oru:diva-96494 (URN)10.1080/07347324.2021.2018957 (DOI)000740609800001 ()2-s2.0-85122706482 (Scopus ID)
Available from: 2022-01-17 Created: 2022-01-17 Last updated: 2022-04-22Bibliographically approved
Schückher, F. (2020). Alcohol use disorder in socially stable women receiving outpatient treatment: Individual characteristics of importance for onset age and treatment outcome. (Doctoral dissertation). Örebro: Örebro University
Open this publication in new window or tab >>Alcohol use disorder in socially stable women receiving outpatient treatment: Individual characteristics of importance for onset age and treatment outcome
2020 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Socially stable women with alcohol use disorder (AUD) are seldom studied separately and are often marginalized in treatment of substance abuse. The overall aim of this thesis was to examine variables of importance in relation to age at onset of AUD and treatment outcome.

Study I, which included 338 men and women being treated for AUD, showed that women had a significantly later onset and shorter duration in excessive alcohol use as well as less weekly pure alcohol intake than men. Participants with earlier onset of excessive alcohol use reported significantly more psychiatric symptoms and more immature personality traits than those with later onset. 

Study II-IV included 75 women with AUD receiving outpatient treatment. Of the participants, 68% reported a history of childhood maltreatment. Emotional abuse and their mother’s alcohol and/or substance problems were independent predictors of earlier age at onset of AUD. In Study III treatment outcome was measured as a change in alcohol consumption. A more positive change, especially with regard to abstinence, was found in women who did not report childhood abuse. Study IV showed that, at 12month follow up, most of the participants had reached their end-oftreatment goal either abstinence or low-risk drinking. However, those with a goal of abstinence at the end of treatment showed significantly less risk drinking than those with low-risk drinking as a goal. The most important predictor of abstinence at the 12-month follow up was having abstinence as an end –of –treatment goal. 

These results indicate the importance of identifying and addressing childhood trauma in treating socially stable women with AUD. Focusing on motivational changes during treatment may also be of importance, especially in patients with relapses, as abstinence still is the most stable treatment option.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2020. p. 84
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 223
Keywords
AUD, women, childhood maltreatment, onset age, treatment outcome, goal of treatment
National Category
General Practice
Identifiers
urn:nbn:se:oru:diva-85257 (URN)978-91-7529-355-4 (ISBN)
Public defence
2020-11-12, Örebro universitet, Campus USÖ, hörsal C1, Södra Grev Rosengatan 32, Örebro, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2020-08-31 Created: 2020-08-31 Last updated: 2020-10-22Bibliographically approved
Schückher, F., Sellin, T., Engström, I. & Berglund, K. (2020). History of childhood abuse is associated with less positive treatment outcomes in socially stable women with alcohol use disorder. In: : . Paper presented at EPA 2020, The 28th European Congress of Psychiatry, July 4-7, 2020..
Open this publication in new window or tab >>History of childhood abuse is associated with less positive treatment outcomes in socially stable women with alcohol use disorder
2020 (English)Conference paper (Refereed)
National Category
Substance Abuse
Identifiers
urn:nbn:se:oru:diva-82309 (URN)
Conference
EPA 2020, The 28th European Congress of Psychiatry, July 4-7, 2020.
Available from: 2020-06-02 Created: 2020-06-02 Last updated: 2020-12-01Bibliographically approved
Schückher, F., Sellin Jönsson, T., Engström, I. & Berglund, K. (2019). History of childhood abuse is associated with less positive treatment outcomes in socially stable women with alcohol use disorder. BMC Women's Health, 19(1), Article ID 159.
Open this publication in new window or tab >>History of childhood abuse is associated with less positive treatment outcomes in socially stable women with alcohol use disorder
2019 (English)In: BMC Women's Health, E-ISSN 1472-6874, Vol. 19, no 1, article id 159Article in journal (Refereed) Published
Abstract [en]

Background: To examine the relationship between treatment outcome, as measured according to change in alcohol consumption, and a history of childhood abuse (emotional, physical, sexual) in socially stable women undergoing treatment for alcohol use disorder (AUD).

Methods: Participants were assessed using the Addiction Severity Index and the Mini International Neuropsychiatric Interview at the beginning of treatment (n = 75), end of treatment (n = 59) and 12 month follow-up after treatment (n = 57). Self-report data on alcohol consumption were obtained at all three time-points using the Alcohol Habits Inventory-Revised 2. Self-report data on childhood maltreatment were obtained at the beginning of treatment using the Childhood Trauma Questionnaire-short form. Study outcomes were changes in alcohol consumption (grams of pure alcohol per week), risk-drinking and reported abstinence.

Results: Of the 75 women enrolled, 38 (50.7%) reported a history of childhood abuse and the rest did not. Both groups showed a significant improvement in all three outcomes at the end of treatment and at 12-month follow-up. At the end of treatment, a significant inter-group difference was found for reported abstinence (non-abused group, 39.3% vs abused, 12.9%; p < 0.05). At 12-month follow-up, significant inter-group differences were observed for all treatment outcomes, with superior outcomes being found for the non-abused group, including a higher proportion of women with reported abstinence (55.6% vs 13.3%; p < 0.01).

Conclusion: The present findings suggest that an evaluation of a possible history of childhood abuse is warranted in all women seeking treatment for AUD, irrespective of social stability. In terms of clinical practice, the results suggest that additional interventions may be warranted in this population.

Place, publisher, year, edition, pages
BMC, 2019
Keywords
Adult women, Alcohol use disorder, Childhood abuse, Treatment outcome
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-79099 (URN)10.1186/s12905-019-0857-4 (DOI)000502718200002 ()31830964 (PubMedID)2-s2.0-85076488310 (Scopus ID)
Note

Funding Agency:

University Health Care Research Center, Region Örebro County, Sweden

Available from: 2020-01-15 Created: 2020-01-15 Last updated: 2023-08-28Bibliographically approved
Schückher, F., Sellin, T., Fahlke, C. & Engström, I. (2018). The Impact of Childhood Maltreatment on Age of Onset of Alcohol Use Disorder in Women. European Addiction Research, 24(6), 278-285
Open this publication in new window or tab >>The Impact of Childhood Maltreatment on Age of Onset of Alcohol Use Disorder in Women
2018 (English)In: European Addiction Research, ISSN 1022-6877, E-ISSN 1421-9891, Vol. 24, no 6, p. 278-285Article in journal (Refereed) Published
Abstract [en]

It is unclear whether exposure to childhood maltreatment is associated with the age of onset of alcohol use disorder (AUD). A group of socially stable women with AUD seeking treatment (n = 75) were interviewed using the Addiction Severity Index and the Mini International Neuropsychiatric Interview. They also filled out the Childhood Trauma Questionnaire-short form. Emotional abuse, sexual abuse and multiple childhood traumas were found to be associated with earlier onset of AUD. Multivariable linear regression analysis showed that independent predictors for an earlier onset of AUD were exposure to emotional abuse (beta = -7.44, SE = 2.83, adjusted p = 0.010) and mother's alcohol/substance problems (beta = -7.87, SE = 3.45, adjusted p = 0.026). These variables explained 18.9% of the variance of age of onset of AUD. These findings highlight a need for increased clinical attention to AUD subgroups who have experienced childhood maltreatment, especially emotional abuse, as well as a need for including support in the patient's own parental role in the treatment.

Place, publisher, year, edition, pages
S. Karger, 2018
Keywords
Age of onset, Alcohol use disorder, Childhood maltreatment, Mother’s alcohol/substance problems
National Category
Psychiatry
Research subject
Psychiatry
Identifiers
urn:nbn:se:oru:diva-72004 (URN)10.1159/000494766 (DOI)000456650200002 ()30448841 (PubMedID)2-s2.0-85057010272 (Scopus ID)
Note

Funding Agency:

University Health Care Research Center, Region Örebro County, Sweden

Available from: 2019-02-01 Created: 2019-02-01 Last updated: 2021-11-22Bibliographically approved
Schückher, F., Sellin, T., Fahlke, C. & Engström, I. (2018). The Impact of Childhood Maltreatment on Onset Age of Alcohol Use Disorder in Women Seeking Treatment. In: : . Paper presented at 2018 Annual Meeting, American Psychiatric Association, New York, NY, USA, 5-9 May, 2018.
Open this publication in new window or tab >>The Impact of Childhood Maltreatment on Onset Age of Alcohol Use Disorder in Women Seeking Treatment
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Substance Abuse
Identifiers
urn:nbn:se:oru:diva-73847 (URN)
Conference
2018 Annual Meeting, American Psychiatric Association, New York, NY, USA, 5-9 May, 2018
Available from: 2019-04-17 Created: 2019-04-17 Last updated: 2021-11-22Bibliographically approved
Schückher, F., Sellin, T., Berglund, K., Berggren, U., Balldin, J., Engström, I. & Fahlke, C. (2017). The Importance of Age at Onset of Excessive Alcohol Use with Regard to Psychiatric Symptoms and Personality Characteristics. Alcoholism Treatment Quarterly, 35(4), 328-343
Open this publication in new window or tab >>The Importance of Age at Onset of Excessive Alcohol Use with Regard to Psychiatric Symptoms and Personality Characteristics
Show others...
2017 (English)In: Alcoholism Treatment Quarterly, ISSN 0734-7324, E-ISSN 1544-4538, Vol. 35, no 4, p. 328-343Article in journal (Refereed) Published
Abstract [en]

Psychiatric symptoms and personality characteristics were studied in men (n=252) and women (n=86) as they commenced treatment for excessive alcohol use. The Addiction Severity Index, Symptom Check List, and Temperament and Character Inventory were used. ANOVA with early/late onset and gender as covariates showed significantly lower scores for psychiatric symptoms and more mature personality characteristics in the late-onset group compared to early onset. Men described more depression and anxiety, and women higher persistence. Results indicate the importance of considering age at onset of excessive alcohol use when patients enter treatment because different treatment approaches may be required.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2017
Keywords
alcohol onset, gender, personality, psychiatric symptoms
National Category
Substance Abuse
Identifiers
urn:nbn:se:oru:diva-61355 (URN)10.1080/07347324.2017.1350540 (DOI)000411473600003 ()2-s2.0-85026532744 (Scopus ID)
Note

Funding Agency:

University Health Care Research Center, Region Örebro County, Sweden 

Available from: 2017-10-09 Created: 2017-10-09 Last updated: 2020-12-01Bibliographically approved
Schückher, F., Björk, T., Berglund, K., Berggren, U., Balldin, J., Engström, I. & Fahlke, C. (2016). Differences in psychiatric symptoms and personality characteristics appear to be more pronounced between early and late onset of excessive drinking than between genders. In: : . Paper presented at The 18th Annual ISBRA World Congress & Inaugural ISBRA/ESBRA Joint World Congress in Berlin, Germany. September 2-5, 2016..
Open this publication in new window or tab >>Differences in psychiatric symptoms and personality characteristics appear to be more pronounced between early and late onset of excessive drinking than between genders
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2016 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Substance Abuse
Identifiers
urn:nbn:se:oru:diva-82312 (URN)
Conference
The 18th Annual ISBRA World Congress & Inaugural ISBRA/ESBRA Joint World Congress in Berlin, Germany. September 2-5, 2016.
Available from: 2020-06-02 Created: 2020-06-02 Last updated: 2020-12-01Bibliographically approved
Schückher, F., Björk, T., Berglund, K., Berggren, U., Balldin, J., Engström, I. & Fahlke, C. (2016). Individuals with onset of excessive drinking in late adulthood: Do they differ from the early onset group in psychiatric symptoms and personality characteristics?. In: : . Paper presented at Kettil Bruun Society, 42nd KBS meeting, Stockholm, Sweden, May 30 - June 3, 2016..
Open this publication in new window or tab >>Individuals with onset of excessive drinking in late adulthood: Do they differ from the early onset group in psychiatric symptoms and personality characteristics?
Show others...
2016 (English)Conference paper, Oral presentation only (Refereed)
National Category
Substance Abuse
Identifiers
urn:nbn:se:oru:diva-82313 (URN)
Conference
Kettil Bruun Society, 42nd KBS meeting, Stockholm, Sweden, May 30 - June 3, 2016.
Available from: 2020-06-02 Created: 2020-06-02 Last updated: 2020-12-01Bibliographically approved
Schückher, F., Berglund, K., Engström, I. & Sellin, T.Predictors for abstinence at 12-month follow up in socially stable women seeking treatment for alcohol use disorder.
Open this publication in new window or tab >>Predictors for abstinence at 12-month follow up in socially stable women seeking treatment for alcohol use disorder
(English)Manuscript (preprint) (Other academic)
National Category
General Practice
Identifiers
urn:nbn:se:oru:diva-86674 (URN)
Available from: 2020-10-20 Created: 2020-10-20 Last updated: 2020-12-01Bibliographically approved
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